Kathryn Anne Petersen, CRNP in Madison, AL - Medicare Nurse Practitioner

Kathryn Anne Petersen, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Madison, Alabama. Her current practice location is 44 Hughes Rd Ste 2500, Madison, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 464-2920.

Kathryn Anne Petersen is licensed to practice in Alabama (license number 1-147633) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356077879.

Contact Information

	Kathryn Anne Petersen, CRNP
	44 Hughes Rd Ste 2500, Madison, AL 35758-3026
	(256) 464-2920
	(256) 542-3200

Map and Direction

Provider's Profile

Full Name	Kathryn Anne Petersen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	44 Hughes Rd Ste 2500, Madison, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356077879
Provider Enumeration Date: 07/27/2022
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 7315321726
Enrollment ID: I20220902002556

Medical Identifiers

Medical identifiers for Kathryn Anne Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356077879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-147633 (Alabama)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn Anne Petersen allows following entities to bill medicare on her behalf.

Entity Name	Vital Sleep Care, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104417955 PECOS PAC ID: 2860808268 Enrollment ID: O20210310000387

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Anne Petersen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kathryn Anne Petersen, CRNP 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 Ph: (256) 464-2920	Kathryn Anne Petersen, CRNP 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 Ph: (256) 464-2920

Reviews and Comments

Nurse Practitioner Nurses in Madison, AL

Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334
Dr. Kaitlyn Wendolowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12100 County Line Rd Ste A2, Madison, AL 35756 Phone: 256-724-7714 Fax: 256-724-7065
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994
Erin Stinnett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7500 Highway 72 W, Madison, AL 35758 Phone: 256-964-8338

Kathryn Anne Petersen, CRNP - Medicare Nurse Practitioner in Madison, AL